A client has suffered a mild stroke. Which type of nursing diagnosis would reflect the client's health status?
a. wellness c. perceived
b. risk d. actual
D
Nursing diagnoses can be classified as actual diagnoses, such as Self-care deficit, feeding R/T loss of function of right arm. In an actual diagnosis, the problem exists and there are signs and symptoms of the problem present.
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The nurse completes yearly training regarding the use of restraints. Which situation would the nurse categorize as a restraint?
1. A safety belt applied across the client's waist when sitting in a geri chair with a quick release button demonstrated to the client 2. The use of the top side rail to provide something for the client to hold on to when getting out of bed 3. A safety belt around the infant when placing the child in a swing 4. The use of all four side rails on the bed after administering preoperative sedation
The nurse is caring for an older adult client with gallbladder disease recovering from a cholecystectomy. Which risk factors increase this client's susceptibility to infection?
Select all that apply. A) Dry skin B) Advanced age C) Intact mucous membranes D) Non-intact skin E) Active bowel sounds
The adequacy of a sample would be primarily based on which of the following criteria?
a. Method chosen for sample selection b. Representativeness of the population c. Size of the total population d. Willingness of subjects to participate
A client with an exacerbation of heart failure is experiencing fluid volume overload. The nurse understands that which regulator of blood pressure will most likely be secreted during this exacerbation?
1. Renin 2. Atrial natriuretic peptide (ANP) 3. Antidiuretic hormone (ADH) 4. Aldosterone